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Home My WebLink About2015-01034 - gas fireplace ' � ' CITY OF ORONO * Z 0 1 5 - 0 1 0 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: 08/17/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1725 CONCORDIA ST PIN : 17-117-23-22-0044 LEGAL DESC : COFFE'S ADDITION TO SHADYWOOD : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COI�TSTRUCTION TYPE : FIREPLACE-GAS VALUATION : $ 2,500.00 NOTE: PETERSON GAS FACTORY FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 125 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD HOPKINS, MN 55343 TOTAL 53Z5 (952)933-1868 Payment(s) CREDIT CARD 3543 53.25 OWNER NYSTROM,JAMES 1725 CONCORDIA ST . WAYZATA, MN 55391- • AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of[he date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revoked at any time for due cause. � �vtia�e� t' Q � l Z ��J Applicant Permitee Signature Date Issu d y Signature Date 95?9��1869 14 06 55 08 14 2015 2/4 RC YU F,OtiI,Y O City of Orono � NO P.O.l3ox 6G Dalc Recci��c / cnnit;! ��5 ?�so K�ii�y r��;�,,ay Crystal Bay,MN�5323 Approved By: Amount S:__,_____ I ' Phone(952)249-4600 Pax(9>2)2d9-9616 i � �� .` CITY OF ORONO—MECHANICAL PERMIT ��"esric�F (All Commerci�l permits must be approved by the 13uilding OlYcial or Inspcctor anci/or fire Marshall) GENER.A.L INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will 6e issued within hvo working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMII�S ARE NOT VALID UNTIL YOU RECEIVL- A PER�yIIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE.IOB SITE. 3. Mechanical Desions—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation inciuding heat loss/heat gain calculation,design temperatures,equipment ratings and ideniificatio�as to type,manufacturer and model. Data shall be presented on form provided. 4. When any ne�v construction or remodeling is involved,a separate building permit must be obtained. 5. All ��rork must be done in accordance with the Uniform Mechanical Code/Siate BuildinD Code requirements. 6. All work rnust be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7_ House Heating Test Record must be submitCed before tinal. TYPB OF PERMIT (Check All That Apply Q Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �eplace Job Site/Owner Information: Site Address: �?_� C,Ot�1C_C)�D1A ST-ORCINC�fN1n1 553�t t Owner: �A�E.� [�y��gQ�.. Mailing Address: 9t �3�`'D ��(E. N. c�ry: ��LG,L.Yt�I PARK_N1�J z�P: 55�28 Home Phone: �(�121t08`^'J' '2��'�D Alternate Phone: �q�2��P' '�J�q Contractor Information: Contractor: �`C�1CA�..S11``l�l`�SContact Person: SH�(�Lf� Cd�W�� Address: �ZBS ��Al�►�RD State Bond#: �SO��..�IL� City: ��.11�5 Zip:�3 Expiration Date: C�� FAX: Phone: �952 3 -I 8� . C95Z)933-��(.�q ❑ lnsurance—Cti.inent: '1}��"�U�l�� (� � �LtcY� � Oq-�000-�UU�a , 9529a31 869 14 07 16 08-1 4-2015 3/4 MECHANICAL SYSTEMS BEING iNSTALLBD Note:All Geothem�al Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHEI2MAL? ❑Yes [�No 1lEA"TtNG SYSTEMS Quantity: � ___ Make: Q��S�_ Model: ��+55_.... Puel: �S Flue Size: Input BTUs: y�.� ___ Output BTtis: _ CFM: COOLING SYSTEMS Quantity: -- Make: Model: Tons: f I.Power FIRGPLACES L� C'ias Factory Fireplace Brand Name: �ET�RSON _ ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: �ys��Q�-SS ❑ Wood Stove witl�Flue/Masonry VENTILATIOIV ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) _____cfm ❑ No. Other Fans Locations cfm FUEL STORAGE (Must be approved by Fire Marshull tf propnsing to aba�rdon ta»k ti:pluce.) ❑ Installation ❑ Removal Fuel Oil: _gailons ❑ Underground ❑Inside ❑Outside LP Gas: gallons pther. GAS LINE ONLY ❑ Outdoor Grili ❑ Other/List What&Whcre: 2 9529331869 14 07 29 08-14-2015 4!4 PFRMIT FEE CALCULATION(S) � BASED OFF-2002 STATE STATUE ❑ Yes,this section applies Thc replacement of a Residential fixture or appliance that meets all three of die following requirements: l. Docs not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or[icensed contractor. Skip next section,if this applies; Cost of Pcrmit $ 15.00 State Surcl�arge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follo�v guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � 2-�"t�'��•� x.0125$ 5�.� (con�rac�price) (minimum$50.00) 2. STATE SCJRCHARGE �Z,5(�.� x.0005 $ � .Z,� (contract pricc) 3. POSTAGE&HANDLING(Only on Mait-1n Applications) $ 2.00 4. TOTAL PER:�IIT I'EE(Add Lines 1-3 Above) $ �J' �•2.� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment, la6or or installations are fumished by the owner, tenant or any other party,the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the evenE that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT-APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Yermit, agrces to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: (�8 � 1 3 V � DATE TIME �. OF ORONO � CALLED IN � � _ INSPECTION NOTICE_. , - scHeou�Eo C_��?1� � PERMIT NO.;"�.�-��'� �n� COMPLEfED ADDRESS ITZ c > ^ c 1 ZC(`�r_f�j'� � , OWNER TELEPH��O�'t�I "Z_(�.'��=�7� CONTRACTOR � I C�(—I ° --�l�_S� � � DESCRIPTION �� --C �� --�-- � t�-I +� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVA J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERfCONTRACTOR TO MEET YOU:�YES_NO c�., COMMENTS: _ � 4 _ �-. �, - � � J � i � �C �j?:; ,; �Z� 1.:,>r/�� ;��f`� T-:�',:;-�'�,c.: � O , T ,f .� � �%� �.�y �4- i.'f,-1 W � � Qy� , :- � ' - i F� �: .--, 'E� � . 2 ' i�`(� i" i��",. � `�� W � W � j W ❑WORKSATiSFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 3 PROCEED ❑ISS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT V1fORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� WII@��OItU'��f OIl Slt@: ' t �1IS�Ct01: `�i�'y� .� ``�6" �`� White Copyllnspector's File Canary CopylSite Notke